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Published on: August 2, 2024
Preferential existence of death-inducing proteins in the human cardiomyopathic left ventricle
Nduna Dzimiri1, Barima Afrane, Charles C Canver
1Department of Genetics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Insights
Dilated cardiomyopathy (DCM) involves increased death-inducing receptors (DRs) and decreased decoy receptors (DcRs) in heart tissue. These changes suggest a role for apoptotic signaling in the progression of heart failure.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Genetics
Background:
- Dilated cardiomyopathy (DCM) is a significant cause of heart failure, mortality, and healthcare costs.
- Understanding the molecular mechanisms underlying DCM is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the expression of apoptotic signaling genes in human DCM.
- To determine the role of death receptors (DRs) and decoy receptors (DcRs) in the pathogenesis of DCM.
Main Methods:
- Cardiac tissue samples were collected from DCM patients and healthy controls.
- Real-time polymerase chain reaction (PCR) was used to quantify mRNA expression of DRs and DcRs.
- Protein expression levels were assessed using densitometry.
Main Results:
- Elevated mRNA and protein levels of DR1, DR2, DR4, and DR5 were observed in DCM tissues, particularly in the left ventricle and left atrium.
- Significant decreases in DcR1 and DcR3 expression were found in multiple heart chambers of DCM patients.
- Trends in mRNA expression changes were consistent with observed protein expression alterations.
Conclusions:
- The increased expression of death-inducing proteins in the left heart chambers of DCM patients suggests their involvement in the apoptotic pathways contributing to end-stage heart failure.
- These findings highlight the potential of targeting apoptotic signaling as a therapeutic strategy for DCM.
Introduction:
Idiopathic or acquired dilated cardiomyopathy (DCM) is a leading health threat resulting in considerable mortality and serious long-term disability with a substantial economic healthcare expenditure. The purpose of this study was to investigate the modulation of apoptotic signaling genes in human cardiomyopathy.
Methods:
Cardiac tissue was obtained from six heart transplant recipients (age = 43 +/- 7 y) with DCM. Equivalent control specimens were taken from six healthy heart donors (age = 33 +/- 4 y). The mRNA expression of death-inducing proteins, the death (DRs) and decoy receptors (DcRs), in the four cardiac chambers was quantified using real time polymerase chain reaction LightCycler (Roche Diagnostics GmbH, Mannheim, Germany). Immunodetectable receptor protein expression was quantified densitometrically. Data were analyzed by analysis of variance and unpaired Student's t-test.
Results:
In DCM tissues, DR1 mRNA was elevated by 42.7% (P < 0.01) in the left ventricle (LV) and 56.4% (P < 0.001) in the left atrium (LA), while DR2 increased by 112.5% (P < 0.00001) in LV and 45.8% (P < 0.05) in LA. Increase in DR4 was 29.6% (P < 0.01) in LV, 82.5% (P < 0.01) in the right ventricle (RV), 210.8% (P < 0.01) in LA, and 99.1% (P < 0.01) in the right atrium (RA). DR5 was elevated by 66.7% (P < 0.01) in LV, 181.8% (P < 0.005) in LA, and 90.2% (P < 0.05) in RA. DcR1 decreased by 30.8% in LV, 44% (P < 0.05) in LA, and 12.5% in RA; DcR3 by 67.1% (P < 0.0001) in LV, 82.4% (P < 0.0001) in RV, 85.1% (P < 0.0001) in LA, and 84.6% (P < 0.0001) in RA. The trends in mRNA expression were comparable to the changes in protein expression.
Conclusions:
Left heart-sided increase of death-inducing proteins in human cardiomyopathy is suggestive of their potential modulatory roles in death-related signaling in the pathogenesis of end-stage myocardial failure.
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